Fire/Life Safety Checklist

• Department of

  Select

• Building inspected

• Date of Inspection

  Date

• Inspector's name

Exits

• 1. All exit doors unlocked during business hours

  Yes

  No

  N/A

• 2. No exits, aisles, corridors, or stairways obstructed

  Yes

  No

  N/A

• 3. All exit doors and hardware operates properly

  Yes

  No

  N/A

• 4. No storage beneith exit stair

  Yes

  No

  N/A

• 5. All lighted exist signs and emergency lighting operate properly

  Yes

  No

  N/A

Housekeeping

• 1. All areas free from combustible waste material creating a fire hazard

  Yes

  No

  N/A

• 2. Combustible materials kept clear of ignition sources

  Yes

  No

  N/A

• 3. All oily and greasy rags kept in selfclosing metal cans

  Yes

  No

  N/A

• 4. Exits and exit closures clear of combustible materials storage

  Yes

  No

  N/A

• 5. Mechanical, electrical equipment, and boiler rooms clear of combustibles

  Yes

  No

  N/A

• 6. Flammable liquids stored away from exits, aisles, corridors, or stairways

  Yes

  No

  N/A

• 7. Portable containers for flammable liquids are approved

  Yes

  No

  N/A

• 8. Flammable liquids storage in excess of 10 gal. in approved cabinets

  Yes

  No

  N/A

• 9. Sprinkler heads unobstructed, 18 inches free clearance

  Yes

  No

  N/A

• 10. All compressed gas cylinders properly used, stored, and secured

  Yes

  No

  N/A

Fire Prevention & Protection

• 1. Fire Safety/evacuation plans implemented

  Yes

  No

  N/A

• 2. Fire alarms inspected, tested, and maintained

  Yes

  No

  N/A

• 3. Sprinkler systems (water) inspected, tested, and maintained

  Yes

  No

  N/A

• 4. Emergency generators are exercised monthly

  Yes

  No

  N/A

• 5. Smoke detectors are in proper locations

  Yes

  No

  N/A

• 6. Unobstructed access to all fire protection equipment

  Yes

  No

  N/A

• 7. Fire extinguishers visually inspected/tested annually

  Yes

  No

  N/A

• 8. Fire extinguishers available, visible, and unobstructed

  Yes

  No

  N/A

• 9. Selfclosing fire doors function properly and are free of obstruction

  Yes

  No

  N/A

Electrical

• 1. Electical cords kept in good condition

  Yes

  No

  N/A

• 2. Extension cords are not used for permanent wiring

  Yes

  No

  N/A

• 3. Electrical wiring,m devices, and equipment in good condition

  Yes

  No

  N/A

• 4. Ground fault recepticals used where necessary

  Yes

  No

  N/A

• 5. Multiplug adapters equipped with overcurrent protection

  Yes

  No

  N/A

• 6. Electric panels/outlets in good condition, no wiring exposed, covers in place

  Yes

  No

  N/A

Hazardous Material

• 1. SDS readily available on premises for all hazardous materials

  Yes

  No

  N/A

• 2. Visible hazard identification signs where hazardous materials located

  Yes

  No

  N/A